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Old 03-11-2012
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ObGyn Treatment of Dysfunctional Uterine Bleeding?

Guys I am confused about the exact treatment of Dysfunctional Uterine bleeding in different age groups...

the approach to DUB as well

What is DOC....Progestins or OCpills ...or endometrial ablation etc..

Can someone enumerate...

plz share ur knowledge
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Old 03-11-2012
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DUB
  • premenarchal -> could be cancer, precocious puberty, foreign object
  • post-menopausal -> carcinoma until proven otherwise
  • reproductive age -> most common is anovulatory cycles
Most common DUB is in reproductive age, constant high levels of estrogen leading to anovulatory cycles: DOC is progestins (usually medroxyprogesterone acetate), second choice OCP's. Endometrial ablation or hysterectomy only if patient has failed medical treatment and has no interest in childbearing.
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Old 03-12-2012
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Quote:
Originally Posted by Mondoshawan View Post
DUB
  • premenarchal -> could be cancer, precocious puberty, foreign object
  • post-menopausal -> carcinoma until proven otherwise
  • reproductive age -> most common is anovulatory cycles
Most common DUB is in reproductive age, constant high levels of estrogen leading to anovulatory cycles: DOC is progestins (usually medroxyprogesterone acetate), second choice OCP's. Endometrial ablation or hysterectomy only if patient has failed medical treatment and has no interest in childbearing.
after failing ocp can try leuprolide...if that too fails..then its ablation.
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Old 03-12-2012
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btw for unstable DUB, rx is estrogen !!

one more thing...clue to dub bleeding in q will be CRAMPLESS bleeding with CLEAR cervical mucus [ that means it is E primed ]///
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Old 03-12-2012
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wat is unstable DUB ??
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Quote:
Originally Posted by tyagee View Post
btw for unstable DUB, rx is estrogen !!
Right - for sudden heavy bleeding, high-dose estrogen is given to induce rapid growth of the lining and stop the bleeding. When the bleeding is controlled (<24 hrs one hopes), progesterone is added or the patient is tapered to OCP.

Quote:
Originally Posted by tyagee View Post
one more thing...clue to dub bleeding in q will be CRAMPLESS bleeding with CLEAR cervical mucus [ that means it is E primed ]
Good clue, thanks!
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Old 03-12-2012
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DOC is drug of choice, doesn't have to do anything with oral contraceptives (OCPs).
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Old 03-12-2012
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i kno that man... rather u misunderstood my question bro !!
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Old 03-12-2012
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DOC----OCP... haha..that was hillarious
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